NPIMap

Organization Active NPI

Heartland Human Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Effingham, IL
National Provider Identifier
1962658195
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
HEARTLAND HUMAN SERVICES
Practice address
1200 N 4TH St
Effingham, IL 62401-3032
Phone
(217) 347-7179
Fax
(217) 342-6716
NPI assigned
Aug 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shannon Quandt
Title
Executive Director
Phone
(217) 347-7179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

1200 N 4TH St
Effingham, IL 62401-3032

Mailing address

1200 N 4TH St
PO Box 1047
Effingham, IL 62401-3032
Phone (217) 347-7179

Other identifiers 1

IdentifierTypeStateIssuer
ITIN001MedicaidIL

National Provider Directory

National Provider Directory
Tax ID family
Heartland Human Services11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1200 N 4th St
Effingham, IL 62401
Phone (217) 347-7179

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543449600000",
    "number": "1962658195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N 4TH ST",
            "address_2": "PO BOX 1047",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624013032",
            "telephone_number": "217-347-7179",
            "fax_number": "217-342-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N 4TH ST",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624013032",
            "telephone_number": "217-347-7179",
            "fax_number": "217-342-6716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "last_updated": "2018-11-29",
        "status": "A",
        "authorized_official_last_name": "QUANDT",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "217-347-7179"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ITIN001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Effingham, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.